Healthcare Provider Details

I. General information

NPI: 1174515308
Provider Name (Legal Business Name): LOU ANN PATTERSON CPC, LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11212 DAVENPORT ST
OMAHA NE
68154-5624
US

IV. Provider business mailing address

4839 S 122ND CT
OMAHA NE
68137-2056
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-7005
  • Fax: 402-552-7016
Mailing address:
  • Phone: 402-991-0001
  • Fax: 402-552-7016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCPC 447
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHP 456
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: